Manual small incision cataract extraction is state-of-the-art surgery for management of age-related cataracts in many developing countries. It is a surgical procedure that is easy to master, safe, faster than a conventional ECCE, and an effective method which delivers optimal visual results comparable to phacoemulsification with less chance of complications and no additional cost of instruments or equipment. It also serves as an optimal technique for use during the conduction of cataract surgery eye camps where a large volume of patients can be operated with good visual results in a short time. In a developing country like India, many surgeons are not trained to perform phacoemulsi-fication and there is also a scarcity of phacoemulsification equipment due to financial constraints. Most surgeons are still performing conventional surgery and there is an urgent need to shift to manual small incision cataract surgery which offers much better results in a shorter time. Although a large number of texts have been written on the subject, it is difficult for the trainee surgeon to decipher useful information from these voluminous texts. This book has been conceived to provide the reader with an instruction course on “how to do a manual small incision cataract surgery”, covering each step of the surgical procedure. Each surgical detail has been explained in the text to enable the reader to actually perform the maneuver during surgery. This book on SICS has been written through a team effort with aim of providing the latest knowledge This handbook is expected to serve as a useful practical manual for residents and practicing ophthalmologists and help them master the technique and art of SICS.